Organization Name: | LANE'S ASSISTED LIVING FACILITY LLC |
NPI Number: | 1588806798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOLECHIA V LANE (BUSINESS MANAGER) |
Mailing Address: | 2617 Carolina Dr Fort Worth |
State: | TX US |
Postal Code: | 761231661 |
Phone Number: | 8176890125 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 04/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |